| NPI | 1811311335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024386) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY Certified) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-12-17 |